New York En Bloc surgeons? Who is a candidate for en bloc capsulectomy? Not all patients are candidates for en bloc capsulectomy. On occasion, the capsule is so flimsy (imagine wet toilet paper) that it is impossible to remove in one piece. This is especially true for thin capsular tissue adjacent to the ribcage, where cutting too deep can lead to a punctured lung cavity or prolonged pain. Because of this I rarely guarantee en bloc capsulectomy; but I do promise a good faith effort to remove all of the capsule tissue in a way that minimizes creating additional injury. How will I look after implant removal surgery? A lot of women ask whether they will look good after en bloc capsulectomy. This can be a very difficult question to answer. The appearance of the breast depends on its size relative to the implant, the degree to which the breast tissue has been displaced over time, and the degree of skin elasticity that remains. Whether things look good depends on these physical factors, but also on how a woman perceives her “new” breasts in the context of how she feels about her body and whether her breasts play the same role they did when the implants were placed.
What are the downsides of en bloc capsulectomy? Because en bloc capsulectomy involves removing the capsule of scar tissue and the breast implant in one piece, it requires a larger incision and resulting scar. The surgery itself is also more complex and lengthy. Your surgeon must carefully detach the scar capsule—which is well-attached to surrounding tissues—while limiting damage and keeping it intact. Because the implant is still inside and the surgeon has not made an incision to see into the capsule, their view is also more limited. An en bloc capsulectomy is called for when there are risks associated with opening the capsule, such as an implant rupture. In other cases, the implant and its entire capsule can be removed with a technique called complete capsulectomy. Furthermore, it’s also not always safe or practical to perform an en bloc capsulectomy. In cases where only a very thin layer of scar tissue formed around the implant or the capsule is closely fused to the chest muscle, for instance, attempting to remove the capsule intact can create more problems. See even more info at En Bloc Capsulectomy los angeles.
When a woman chooses to get breast augmentation with implants, it is usually thought of as a somewhat permanent decision. While it is likely that a revision or replacement may be needed at some point in time, patients who get breast implants are generally planning to keep their new look for the foreseeable future. However, there are a few cases when an explant may either be desired or required. For these patients, an en bloc capsulectomy, or total capsulectomy, may be an appropriate choice. Regardless of the reason for pursuing breast implant removal, we can help. Board-certified and award-winning plastic surgeon Dr. Jaime S. Schwartz has successfully performed countless capsulectomy procedures for patients in Beverly Hills, CA and is extremely knowledgeable in the intricacies and nuances of this complex surgery.
“En bloc” means “as a whole,” and the term “en bloc capsulectomy” refers to removing the entire, intact scar tissue capsule with the breast implant inside as one piece. To do this, the capsule must be physically separated from surrounding tissues while the breast implant is still inside of it and then carefully removed through a large incision. En bloc capsulectomy is less common than other explantation methods but has recently become a topic of discussion online, particularly in breast implant illness forums. The phrase breast implant illness (BII) is used to describe a range of symptoms that some women with implants experience and associate with their breast implants. These women are understandably curious about the most thorough methods for having their implants removed. Read extra information at https://www.enblocsurgeons.com/.